Staying Healthy Assessment (SHA)

Per the contract the Alliance has with the Department of Health Care Services (DHCS), PCP's are required to ask Alliance members to complete the Staying Healthy Assessment (SHA) or approved alternate Individual Health Education Behavioral Assessment (IHEBA) within 120 days of enrollment and periodically thereafter. This requirement will be monitored beginning April 1, 2014.

Access the forms and guidelines for administering the Staying Healthy Assessments at the DHCS website.

DHCS has SHA forms available for the following age groups: 0-6 Months, 1-2 Years, 3-4 Years, 9-11 Years, 12-17 Years, Adult, and Senior. The assessments are available online in the following languages: English, Spanish, Chinese Vietnamese, Armenian, Hmong, Korean, Russian, and Tagalog. Contact Alliance Provider Services at 510-747-4510 for the SHA forms in Arabic, Farsi, and Khmer, or to request a CD or hard copy of the assessments.

All Alliance Primary Care Providers must be trained on how to implement the SHA. If you have not yet completed the training, please do so as soon as possible. You have the following options for training:

IMPORTANT: After completing the training, please complete and send the Alliance a signed SHA Attestation Form. The attestation may be signed by a clinic lead to attest that he or she has trained all of the providers in their clinic.

Questions? Do you want to integrate the SHA into your Electronic Health Record or use an alternate format? We need to hear from you. Please contact the Alliance Health Educator at 510-747-6038 or email Health Programs.